动静调神综合疗法联合网络版认知行为疗法治疗肝郁脾虚型慢性失眠的临床疗效观察

Observation on the Clinical Efficacy of Dongjing Tiaoshen Comprehensive Therapy Combined with Computerized Cognitive Behavioral Therapy for Insomnia in the Treatment of Chronic Insomnia of Liver Depression and Spleen Deficiency Type

【目的】观察动静调神综合疗法联合网络版认知行为疗法(CCBT-I)治疗肝郁脾虚型慢性失眠患者的临床疗效。【方法】将60例肝郁脾虚型慢性失眠患者随机分为观察组和对照组,每组各30例。2组患者均予以CCBT-I作为基础治疗,在此基础上,观察组给予动静调神综合疗法(由针灸调神和动静调神两部分组成)治疗,对照组给予经颅微电流刺激治疗,疗程为4周。观察2组患者治疗前后匹兹堡睡眠质量指数(PSQI)评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)疗效方面,治疗4周后,观察组的总有效率为86.67%(26/30),对照组为70.00%(21/30);组间比较(秩和检验),观察组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)睡眠质量方面,治疗后,2组患者的PSQI评分均较治疗前明显下降(P<0.05),且观察组对PSQI评分的下降作用明显优于对照组,差异有统计学意义(P<0.05)。(3)焦虑、抑郁方面,治疗后,2组患者的SAS和SDS评分均较治疗前明显下降(P<0.05),且观察组对SAS和SDS评分的下降作用均有优于对照组趋势,但组间比较,差异均无统计学意义(P>0.05)。【结论】动静调神综合疗法联合CCBT-I治疗肝郁脾虚型慢性失眠,能明显改善患者的睡眠质量,缓解焦虑、抑郁情绪,提高患者生活质量,临床疗效显著。

Objective To observe the clinical effect of Dongjing Tiaoshen Comprehensive Therapy combined with computerized cognitive behavioral therapy for insomnia(CCBT-I)in the treatment of chronic insomnia patients with liver depression and spleen deficiency syndrome.Methods A total of 60 patients with chronic insomnia of liver depression and spleen deficiency type were randomly divided into observation group and control group,30 cases in each group.Both groups of patients were treated with CCBT-I as the basic treatment,the observation group was additionally treated with Dongjing Tiaoshen Comprehensive Therapy,i.e.,mind-regulating acupuncture therapy combined with regular aerobic exercises and Dantian Qigong exercises,and the control group was additionally treated with cranial electrotherapy stimulation.The course of treatment for the two groups covered 4 weeks.The changes of Pitsburgh Sleep Quality Index(PSQI)score,Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score in the two groups were observed before and after treatment,and the clinical efficacy of the two groups was evaluated after treatment.Results(1)After 4 weeks of treatment,the total effective rate of the observation group was 86.67%(26/30),and that of the control group was 70.00%(21/30).The intergroup comparison(tested by rank sum test)showed that the curative effect of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the PSQI scores of the two groups were significantly lower than those before treatment(P<0.05),and the decrease of PSQI scores in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(3)After treatment,the SAS and SDS scores of the two groups were significantly lower than those before treatment(P<0.05),and the decrease of SAS and SDS scores in the observation group tended to be superior to that in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion For the treatment of chronic insomnia of liver depression and spleen deficiency type,the combination of Dongjing Tiaoshen Comprehensive Therapy with CCBT-I can significantly improve the sleep quality,relieve anxiety and depression,and improve the quality of life of the patients,which exerts significant efficacy.